Urology Coding Alert

4 Tips Ensure You Capture Deserved Circumcision Pay

Don't count on extra pay for the nerve block, however. When your urologist performs a circumcision, accurate CPT Coding won't get you paid if you can't prove medical necessity with the proper ICD-9 Codes -- and the diagnosis challenge is not the only hurdle you'll need to jump. By following these four expert tips, however, you're sure to not only code correctly, but also bring in every dollar your urologist deserves for circumcision services. 1. Choose Code Based on Method, Patient Age Typically, urologists don't perform newborn circumcisions, but rather adult or adolescent circumcisions. Based on the method and the patient's age, CPT offers you three codes for circumcisions: • For a surgical "clamp" circumcision, report 54150 (Circumcision, using clamp or other device with regional dorsal penile or ring block), says Chandra L. Hines, business office manager for N.C.  rological Associates Inc. in Raleigh. You should expect to see this [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Urology Coding Alert

View All